Table of Contents
ISRN Hypertension
Volume 2013, Article ID 671691, 10 pages
http://dx.doi.org/10.5402/2013/671691
Research Article

A Qualitative Study of Patient Perspectives about Hypertension

1Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, AB, Canada T6G 2G3
2Division of General Internal Medicine, Department of Medicine, University of Alberta, Edmonton, AB, Canada T6G 2G3
3Faculty of Nursing, University of Alberta, Edmonton, AB, Canada T6G 2G3

Received 11 January 2013; Accepted 5 February 2013

Academic Editors: G. Davidai, H. Komine, and A. A. Noorbala

Copyright © 2013 Emily P. Jolles et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

To understand hypertensive patients' perspectives regarding blood pressure and hypertension treatment, this qualitative study applied semistructured interviews of hypertensive patients. Participants were recruited from two hypertension clinics at the University of Alberta in Edmonton, Canada. To be eligible for inclusion, patients had to be aged 18 years or older, diagnosed with hypertension by a healthcare provider, and currently taking an antihypertensive medication. Participants were stratified in the analysis according to blood pressure control. Twenty-six patients (mean age 57; 62% female) were interviewed, of which 42% were on target and 58% were not. Three underlying themes emerged from the interviews: (a) knowledge of blood pressure relating to diagnosis and management and control of hypertension, (b) integration of hypertension management into daily routine, and (c) feelings and beliefs of wellness. None of the above themes were associated with better control. Knowledge gaps were found, which emphasize the need for further patient education and physician training. Feelings and beliefs of wellness, and not knowledge, were important factors in home assessment of blood pressure. The absence of connections between control of hypertension and the identified domains indicates that current approaches could benefit from the development of a more personalized approach for education and communication.